摘要
目的评估中国医院消毒供应中心(CSSD)外来医疗器械及植入物处置与管理现状,为规范外来医疗器械及植入物的处置与管理,预防和控制医院感染风险提供数据支持。方法检索2008年1月—2021年8月中国知网、万方、维普、中国生物医学文献数据库、PubMed数据库中中国各医院外来医疗器械及植入物处置与管理现状的文献,严格按照纳入及排除标准进行文献筛选和数据提取,使用Stata 16.0软件进行Meta分析。结果研究共纳入12篇文献2769所医院。Meta分析合并结果显示,外来医疗器械及植入物管理与处置制度落实率为90%(95%CI:84%~96%),专业人员培训落实率为68%(95%CI:48%~89%),接收地点为CSSD落实率为58%(95%CI:42%~75%),术前1 d送达落实率为68%(95%CI:54%~82%),术后于CSSD清洗消毒落实率为48%(95%CI:20%~75%),厂商提供正确的灭菌程序与参数落实率为54%(95%CI:27%~81%),专岗负责落实率为63%(95%CI:41%~86%)。结论中国医院对外来医疗器械及植入物的处置与管理尚存在专岗负责制落实率低,专业人员培训不到位,术后在CSSD清洗消毒实施率较低,部分厂家未提供正确灭菌程序与参数等问题,仍需要规范处置与管理制度,细化处置流程及质量控制细节,强化专业人员培训。
Objective To evaluate the disposal and management status of loaner medical instruments and implants in central sterile supply department(CSSD)of China,provide data support for standardizing the disposal and mana-gement of loaner medical instruments and implants,prevent and control the risk of healthcare-associated infection.Methods Literatures on the disposal and management status of loaner medical instruments and implants in Chinese hospitals between January 2008 and August 2021 were retrieved from China National Knowledge Infrastructure(CNKI),Wanfang Data,VIP,China Biology Medicine disc(CBM)and PubMed,literatures were screened and data were extracted strictly according to the inclusion and exclusion criteria,Stata 16.0 software was adopted for Meta-analysis.Results A total of 12 literatures involving 2769 hospitals were included in the study.The combined results of Meta-analysis showed that the implementation rate of the management and disposal system of loaner medical instruments and implants was 90%(95%CI:84%-96%),implementation rate of professional training was 68%(95%CI:48%-89%),implementation rate of CSSD as receiving location was 58%(95%CI:42%-75%),implementation rate of delivery one day before operation was 68%(95%CI:54%-82%),implementation rate of cleaning and disinfection in CSSD after operation was 48%(95%CI:20%-75%),implementation rate of correct sterilization procedures and parameters provided by manufacturers was 54%(95%CI:27%-81%),and the implementation rate of special post responsibility was 63%(95%CI:41%-86%).Conclusion There are still some problems in the disposal and management of loaner medical instruments and implants in Chinese hospitals,such as low implementation rate of special post responsibility system,inadequate training of professionals,low implementation rate of cleaning and disinfection in CSSD after operation,and correct sterilization procedures and parameters are not provided by some manufacturers.It is still necessary to standardize the disposal and management system,refine the disposal process and quality control details,and strengthen professional training.
作者
崔倩
李漫春
詹朦
王俊锋
丁丽娜
王梅杰
姚卓娅
CUI Qian;LI Man-chun;ZHAN Meng;WANG Jun-feng;DING Li-na;WANG Mei-jie;YAO Zhuo-ya(School of Nursing and Health, Henan University, Kaifeng 475000, China;Central Sterile Supply Department, Henan Provincial People’s Hospital, Henan Provincial Medical Key Laboratory for Quality Control of Medical Devices Sterilization, Zhengzhou 450003, China)
出处
《中国感染控制杂志》
CAS
CSCD
北大核心
2022年第5期430-438,共9页
Chinese Journal of Infection Control
基金
河南省科技攻关计划省部共建项目(SB201901089)。
关键词
外来医疗器械
植入物
管理
现状
医院感染
loaner medical instrument
implant
management
current status
healthcare-associated infection
